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INSURANCE NOT REQUIRE i A-2022-172 WORK MAY PROCEED CLERK OF COUNCIL •on DATE. n„ UnitedwCare C 350 W. Washington St. Tempe, AZ 85281 Phone: (602) 266-5303 ♦ Fax: (602) 266-5254 w J, UNITED PET CARE LLC. p .I}RCLOdt SCVI✓ID�(XC1t� GW�'L GROUP MEMBERSHIP AGREEMENT V THIS GROUP MEMBERSHIP AGREEMENT is made and executed this 6th day of September, 2022, by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereafter referred to as "Member Group"), and United Pet Care, LLC (hereafter referred to as "Program"). The effective date of the GROUP MEMBERSHIP AGREEMENT shall be January 1, 2023. The ADDENDUM is an integral part of the GROUP MEMBERSHIP AGREEMENT and should be read in conjunction with the rest of the GROUP MEMBERSHIP AGREEMENT. The address and telephone number of the principal administrative office of the Program is: 350 W. Washington St. Ste. BI01 Tempe, AZ 85281 (602) 266-5303 PART I — MEMBERSHIP RULES A. Persons eligible to become MEMBERS include any person who: (1) Is an active employee of, or affiliate with, aMEMBER GROUP. (2) Has enrolled in the PROGRAM on a United Pet Care, or MEMBER GROUP enrollment form. (3) Resides or works within PROGRAM'S service area or in an area where the PROGRAM has entered into a GROUP MEMBERSHIP AGREEMENT. (4) ALL MEMBERS for whom the appropriate FEE is paid shall be eligible commencing on the 1st day of the month. B. Membership in the United Pet Care Program is an ANNUAL membership, unless the employee no longer has their pet or is termed. If termed, the Program is portable. PART II— MEMBER PAYMENT SCHEDULE A. The MEMBER GROUP includes members who reside in any state where Program has a Program veterinarian. Members are entitled to veterinary services as set forth in the SCHEDULE FOR MEMBERS, which is incorporated in Schedule(s)For Members Preferred, Select, and Partner, WHICH ARE INTEGRAL PARTS OF THE GROUP MEMBERSHIP AGREEMENT AND SHOULD BE READ IN CONJUNCTION WITH THE REST OF THE GROUP MEMBERSHIP AGREEMENT This Schedule establishes the veterinary services, which are available to MEMBERS without charge, and those services for which MEMBERS are obligated to pay the PROGRAM VETERINARIAN a MEMBER PAYMENT. The amount of such MEMBER PAYMENT, which the PROGRAM VETERINARIAN is permitted to charge MEMBERS for specific veterinary services, is set forth under the definition of 'MEMBER PAYMENT." Services provided by a Veterinary Practice with Special Areas of Interest will be paid for by the PROGRAM MEMBER as set forth under the definition of PRACTICES WITH SPECLAL AREAS OF INTEREST. B. To make an appointment, MEMBERS must contact the PROGRAM' S VETERINARY OFFICE which they have selected. The first appointment scheduled will usually be for the purpose of an annual examination and annual vaccines. MEMBERS must pay MEMBER PAYMENTS listed in their SCHEDULE directly to the veterinary office where and when treatment is received. Members MUST UTILIZE a PROGRAM VETERINARIAN. C. Out of Network Emergencies are excluded. PART III— CHOICE OF PARTICIPATING VETERINARIAN / VETERINARY OFFICE (602) 266-5303 ♦ 350 W. Washington St ♦ Tempe, AZ 85281 5/23/2022